Arms
other: 1: Clinic Level Intervention Only
Patients who enrolled in Quit Services within 4 weeks after the clinical encounter will not be randomized to patient level conditions.
Clinic Level: AAC - Tobacco, AAC - SDOH Bundled/Non-Bundled: NA PRN/RPN: NA Dose: NA
experimental: 2: Non-Bundled, RPN, CA1
Patients who do not enroll Quit Services within 4 weeks after their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive a single proactive outreach from the CA (CA1) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: RPN Dose: CA1
experimental: 3: Non-Bundled, RPN, CA3
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: RPN Dose: CA3
experimental: 4: Non-Bundled, RPN, CA6
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: RPN Dose: CA6
experimental: 5: Non-Bundled, RPN, CA9
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: RPN Dose: CA9
experimental: 6: Non-Bundled, RPN, CA12
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: RPN Dose: CA12
experimental: 7: Non-Bundled, PPN Dose, CA1
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: PPN Dose: CA1
experimental: 8: Non-Bundled, PPN Dose, CA3
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: PPN Dose: CA3
experimental: 9: Non-Bundled, PPN Dose, CA6
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: PPN Dose: CA6
experimental: 10: Non-Bundled, PPN Dose, CA9
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: PPN Dose: CA9
experimental: 11: Non-Bundled, PPN Dose, CA12
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Non-Bundled PRN/RPN: PPN Dose: CA12
experimental: 12: Bundled, RPN, CA1
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Bundled PRN/RPN: RPN Dose: CA1
experimental: 13: Bundled, RPN, CA3
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Bundled PRN/RPN: RPN Dose: CA3
experimental: 14: Bundled, RPN, CA6
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Bundled PRN/RPN: RPN Dose: CA6
experimental: 15: Bundled, RPN, CA9
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Bundled PRN/RPN: RPN Dose: CA9
experimental: 16: Bundled, RPN, CA12
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive 12 proactive outreach opportunities from the CA (CA12) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).
Bundled/Non-Bundled: Bundled PRN/RPN: RPN Dose: CA12
experimental: 17: Bundled, PPN, CA1
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Bundled PRN/RPN: PPN Dose: CA1
experimental: 18: Bundled, PPN, CA3
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Bundled PRN/RPN: PPN Dose: CA3
experimental: 19: Bundled, PPN, CA6
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Bundled PRN/RPN: PPN Dose: CA6
experimental: 20: Bundled, PPN, CA9
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Bundled PRN/RPN: PPN Dose: CA9
experimental: 21: Bundled, PPN, CA12
Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.
Patients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).
Bundled/Non-Bundled: Bundled PRN/RPN: PPN Dose: CA12
Interventions
Clinic Level: AAC - SDOH, AAC - Tobacco
Ask-Advise-Connect (AAC) is a health information technology (HIT) implementation strategy that consists of EHR-based point-of-care supports for the assessment of tobacco use and Social Drivers of Health (SDOH).
Non-Bundled
All patient level strategies will address only the content of increasing reach of the Utah Tobacco Quit Services.
Bundled
All patient level strategies will address the content of increasing reach of the Utah Tobacco Quit Services and SDOH.
Dose 1
The number of proactive outreach opportunities for CA the patient receives. Patient will receive 1 opportunity for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.
Dose 3
The number of proactive outreach opportunities for CA the patient receives. Patient will receive 3 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.
Dose 6
The number of proactive outreach opportunities for CA the patient receives. Patient will receive 6 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.
Dose 9
The number of proactive outreach opportunities for CA the patient receives. Patient will receive 9 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.
Dose 12
The number of proactive outreach opportunities for CA the patient receives. Patient will receive 12 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.
RPN
Reactive Patient Navigation Only (RPN): Patient can request to speak to a CHW, over 12 months following a patient's initial clinic visit, at any time.
PPN
Proactive Patient Navigation (PPN): Patient is proactively called, over 12 months following a patient's initial clinic visit, by a CHW up to 4 times.